Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Premise Health of Indiana Medical PC

Organization Occupational Medicine Clinic/Center · NPI 1033700158

Premise Health of Indiana Medical PC is an Occupational Medicine Clinic/Center in Fort Wayne, Indiana. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4250 Airport Expy
Fort Wayne, IN 46809-9643
Phone: (260) 434-5053
Fax: (260) 434-5413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Medicine Clinic/Center (primary) Taxonomy 261QX0100X

Record details

NPI number1033700158
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Leizman — President · (615) 468-6270
Other names Bae Systems Fort Wayne In; Bae Systems Fort Wayne In
NPI enumeratedFebruary 1, 2021
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024
Mailing address5500 Maryland Way Ste 120, Brentwood, TN 37027-4993

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